Active NPI
Gerald Kane O'Bryan, M.D.
- Internal Medicine Physician
- Houma, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 201218
- Practice address
- 1990 Industrial Blvd
Houma, LA 70363-7055 - Phone
- (985) 868-9300
- Fax
- (985) 851-0053
- NPI assigned
- Nov 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 201218 | LA | |
| Internal Medicine Physician | 207R00000X | 201218 | LA | Primary |
Addresses
Primary practice location
1990 Industrial Blvd
Houma, LA 70363-7055
Mailing address
3650 Loyola Dr Apt 108
Kenner, LA 70065-5431
Phone (504) 467-8771
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073806 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Arkansas College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1990 Industrial Blvd
Houma, LA 70363-7055
Phone (985) 868-9300
Hospital & facility affiliations
- Ochsner Home Health of Raceland
- Leonard J Chabert Medical Center
- Ochsner St Mary
- Terrebonne General Medical Center - Parish
- Ochsner Medical Center Acute
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201218 | LA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Louisiana Medical Associates | Emergency Medicine | Current | Accepting new patients |
| South Louisiana Medical Associates | Current | Accepting new patients | |
| South Louisiana Medical Associates | Internal Medicine | Past | Accepting new patients |
| Southern Regional Medical Corporation | Past | Accepting new patients |
Locations
1990 Industrial Blvd
Houma, LA 70363
Phone (985) 868-9300
1978 Industrial Blvd
Houma, LA 70363
Phone (985) 873-1814
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Houma, LA
- NPI 1699218131
-
- Internal Medicine Physician
- Houma, LA
- NPI 1710944012
-
- General Acute Care Hospital
- Houma, LA
- NPI 1326485749
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Raceland, LA
- NPI 1356588024
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
-
- General Acute Care Hospital
- Morgan City, LA
- NPI 1205482023
-
- General Acute Care Hospital
- Houma, LA
- NPI 1326485749
-
- General Acute Care Hospital
- Houma, LA
- NPI 1518924109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349827200000",
"number": "1629259478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3650 LOYOLA DR APT 108",
"city": "KENNER",
"state": "LA",
"postal_code": "700655431",
"telephone_number": "504-467-8771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1990 INDUSTRIAL BLVD",
"city": "HOUMA",
"state": "LA",
"postal_code": "703637055",
"telephone_number": "985-868-9300",
"fax_number": "985-851-0053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRYAN",
"first_name": "GERALD",
"middle_name": "KANE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-21",
"last_updated": "2012-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "201218",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "201218",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1073806",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houma, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.